Cora Health Services, Inc
Organization Active NPI Rehabilitation Clinic/Center · St Petersburg, FL
NPI 1629936323 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1629936323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- CORA HEALTH SERVICES, INC
- Practice address
- 5535 Park St N
St Petersburg, FL 33709-6309 - Phone
- (727) 209-0579
- Fax
- (727) 209-0580
- NPI assigned
- Jan 12, 2026
- Organization subpart
- No
Authorized official
- Name
- Andrea K Beach
- Title
- Payer Relations
- Phone
- (419) 221-6710
Other NPIs on the same Medicare enrollment 29
Corporate family (same tax ID) 24
Practitioners 1
-
Darci Ann Tharp, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030923000034 | FL | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1759290992 |
12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Largo, FL; Valrico, FL; St Petersburg, FL; Seminole, FL; Seffner, FL; Clearwater, FL |
| O20190716000960 | FL | Part B Supplier - Clinic/Group Practice | 1759290992 |
Receives reassigned benefits from 28 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Garden, FL; The Villages, FL; St Petersburg, FL; Palm Springs, FL; Ocala, FL; Orlando, FL; Belleview, FL; Boca Raton, FL… |
National Provider Directory
- Tax ID family
- Coral Heath Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
5535 Park St N
St Petersburg, FL 33709-6309
Mailing address
3745 Shawnee Rd Ste 103
Lima, OH 45806-1660
Phone (786) 204-1050
Other names
- CORA Physical Therapy - Eagles Park
Other providers in St Petersburg, FL
- Kristie A Copp
- Coquina Key Health Care Center, Inc.
- Cora Health Services Inc
- Cora Health Services Inc
- Cora Health Services, Inc
- Cora Rehabilitation
- Coral Reef Adult Day Care Center
- Corazon Medico LLC
- Maureen Mary Corbett
- Omodele Cordero
All providers in St Petersburg, FL · Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.